1. Home
  2. Directory
  3. Indiana
  4. Sellersburg
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

MAPLEMANOR CHRISTIAN HOME, INC.
NPI 1124494760
Nursing Facility/Intermediate Care Facility in Sellersburg, IN

Active since August 18, 2015CLIA 15D1080965 · Waiver
643 W UTICA ST, SELLERSBURG, IN 47172(812) 246-4866(812) 246-3925 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maplemanor Christian Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLEMANOR CHRISTIAN HOME, INC. (NPI 1124494760) is a healthcare organization registered as a nursing facility/intermediate care facility in Sellersburg, Indiana and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Katherine L. Wilson, Accounting Clerk, as its authorized official.

NPPES Registry Identity

NPI1124494760
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMAPLEMANOR CHRISTIAN HOME, INC.
Location Address643 W UTICA STSellersburg, IN 47172-1163
Mailing Address643 W Utica StSellersburg, IN 47172-1163 · (812) 246-4866 · Fax (812) 246-3925
Phone(812) 246-4866
Fax(812) 246-3925
Organization SubpartNo
Authorized OfficialKatherine L. WilsonAccounting Clerk · (812) 246-4866
Enumeration DateAugust 18, 2015
✔ NPI 1124494760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IN · 15-000563-1
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
643 W UTICA ST, Sellersburg, IN 47172
Open in Google Maps ↗

Other Identifiers 1

Medicaid100267610AIN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1080965

Maple Manor Christain Home, Inc · Sellersburg, IN
Active · expires Mar 5, 2028
CLIA Number15D1080965
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorCullen Istre
Laboratory Phone(812) 246-4866
Laboratory LocationMaple Manor Christain Home, Inc643 W Utica St, Sellersburg, IN 47172
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maplemanor Christian Home, Inc.'s NPI number?

The NPI number for Maplemanor Christian Home, Inc. is 1124494760. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Maplemanor Christian Home, Inc. located?

Maplemanor Christian Home, Inc. is located at 643 W Utica St, Sellersburg, IN 47172. The listed phone number is (812) 246-4866.

What is Maplemanor Christian Home, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Maplemanor Christian Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1080965) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maplemanor Christian Home, Inc. was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.